PRE WEIGH-INS WILL BE JANUARY 29TH FROM 6-9PM AND AGAIN DAY OF THE TOURNAMENT FROM 7-9:30AM. RULES MEETING WILL START AT 9:45AM AND THE TOURNAMENT WILL START AROUND 10AM BEGINNING WITH KIDS NO-GI FIRST. YOU CAN STILL REGISTER THE DAY OF THE EVENT.
Gladiator Open 2010
January 30th, 2010
Armuchee High School • 4203Martha Berry Hwy NW• Rome, GA 30165
OFFICIAL COMPETITOR REGISTRATION FORM
Competitor Name:__________________________________________________________________________________________________
Address: __________________________________________City: ________________________________State: ________Zip: ________
Phone: ____________________________________________Email:__________________________________________________________
D.O.B.: ____________________________________________Team:__________________________________________________________
MEN GI NO-GI GI NO-GI
GI: WHITE BLUE PURPLE BROWN BLACK
___FlyWeight ___LightWeight ___MiddleWeight ___Light HeavyWeight ___HeavyWeight ___Super HeavyWeight
Under 144.9 145-159.9 160-174.9 175-189.0 190-214.9 over 215
NO-GI: BEGINNER INTERMEDIATE ADVANCED
6 months to 1 year experience 1-3 years experience 3+ years experience
___FlyWeight ___LightWeight ___MiddleWeight ___Light HeavyWeight ___HeavyWeight ___Super HeavyWeight
Under 144.9 145-159.9 160-174.9 175-189.0 190-214.9 over 215
___MASTERS (30 – 40 years) ___EXECUTIVES (40 years & above) GI NO-GI GI NO-GI
GI: WHITE BLUE PURPLE/BROWN/BLACK
NO-GI: BEGINNER INTERMEDIATE ADVANCED
Masters and Executives weight classes will be divided at the event.
We will have aMEN’S Director Division if there aremore than 5 competitors 40 years and above.
TEENS (15-17 years) GI NO-GI GI NO-GI
BEGINNER INTERMEDIATE/ADVANCED ___LightWeight ___HeavyWeight
Under 1 year experience – NoWrestlers 1+ years experience Under 134.9 135 and above
SEX: ___Male ___Female
CHILDREN (14 and under) GI NO-GI GI NO-GI
___under 49.9 ___50-59.9 ___60-69.9 ___70-79.9 ___80-89.9 ___90-99.0 ___100-114.9 ___115-129.9 ___130+
BEGINNER (no submissions) INTERMEDIATE (with submissions) ADVANCED (with submissions)
WOMEN
GI: WHITE BLUE AND ABOVE ___LightWeight ___HeavyWeight
Under 134.9 135 and above
NO-GI: BEGINNER INTERMEDIATE/ADVANCED ___LightWeight ___HeavyWeight
Under 1 year experience 1+ years experience Under 134.9 135 and above
INCOMPLETE REGISTRATION FORMSWILL NOT BE ACCEPTED!!!
LiabilityWaiver
I, _________________________________________________, understand that by entering this competition Iwill be competing atmy own risk.
I understand that Jiu-Jitsu is a potentially dangerous and/or fatal Sport and agree that I will hold harmless Gladiator Grappling Association,
The Gladiator Open, Armuchee High School, Rome, GA, all members of the tournament, or their respective officers, agents, representatives,
successors, and/or assigns, and any competitor fromany and all damages whichmay be sustained byme in connection withmy association
with or entry in the above athletic competition, and in connection with any medical services I may be provided in connection with such injury
or illness. I understand all the contents of the rules and general information, which was published by the tournament organization committee
and I agree with them in their entirety. I further understand that I may be dismissed from the premises without compensation if my
conduct is not cooperative for the successful operation of the tournament.
*Competitor’s Signature: ________________________________________________________________ Date: _________________________
*Parent or Legal Guardian’s Signature:______________________________________________________Date: _________________________
(Required if competitor is under 18 years old)
*Signature on this formismandatory. If not signed, you will not be permitted to compete.
Please mail entry form with your cashier’s check ormoney order to the address below.
Gladiator Grappling Association
1652 Old Summerville Rd. NW, Rome, GA 30165
FEES: $50.00 one category and $70.00 for GI and NO-GI.
Family Deals (same last name): 2 fighters - $110, 3 fighters - $160
The tournament is not responsible for a competitormissing his/her division as a result of competing inmany divisions.
NOTE: There are no refunds of competitor fees or spectator fees.
Pre-Registered registrationsmust be received by 01/15/2010
Carol Coronel and Casca-Grossa, Inc. ©2009 www.Casca-Grossa.com
OFFICIAL USE ONLY OFFICIAL USE ONLY
Date application received:________________________________________________________Initial:_______________________
Cash / Cashier’s Check / Money Order: ______________________________________________Initial:_______________________
*This will be a NAGA Rules Event*
